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Strategic Account Executive - Specialty Markets HealthCare Senior Professional
HCSC - Downers Grove, IL
This Senior Professional position is responsible for management of our PEO, AHP, and MEWA complex group accounts across multiple market segments and variety of HCSC states. This includes communication with group and/or broker/ benefits consultants, coordination with Underwriting, andrenewing existing business, and ongoing sales into assigned account. Additional requirements inc...
Sr Analytics & Reporting Analyst
HCSC - Chicago, IL
***This will be a telecommute role and candidates must live within 100 miles of the posting location(s)*** ***There are no Visa sponsorships available at this time*** We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to ...
Sr. Long Term Disability (LTD) Claims Analyst
HCSC - Portland, ME
SR Long Term Disability (LTD) Claims Analyst JOB PURPOSE : This position is responsible for contributing to the overall success of departmental objectives by providing timely and accurate support to our client companies and the claims department. Obtain and analyze information in order to make claim decisions and payments on disabilit...
Product Delivery Consultant
HCSC - Richardson, TX
Job Purpose: This position is responsible for partnering on complex cross enterprise implementations of new products or product enhancements that are critical to the retention of accounts, maintaining market relevancy and responding to legislative and regulatory initiatives. This role serves as resource on a given implementation within the Product Implemen...
Reporting Specialist
HCSC - Morgan Park, IL
Job Purpose: This position is responsible for gathering data, analyzing data, and preparing reports including disseminating information from various sources and systems. Create and execute various ongoing reports, ranging from inforce business reports to block experience analyses. Supporting projects and initiatives and resolving issues by working with staff...
Network Management Consultant- Richardson
HCSC - Richardson, TX
BASIC FUNCTION: Located in Richardson, TX, this position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and developing and maintaining relatio...
Medical Director- EMO Commercial TX
HCSC - Chicago, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health...
Behavioral Health Care Management Specialist
HCSC - Springfield, IL
Job Purpose: This position is responsible for conducting care management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. Required Job Qualifications: * Registe...
Holistic Health Specialist - Registered Nurse (RN) - Chicago
HCSC - Chicago, IL
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.&nb...
HR Service Center Rep I
HCSC - Richardson, TX
Job Purpose: Under supervision, this position is responsible for providing timely and accurate service to customers (primarily active employees) by assisting in processing HR documents, i.e. benefit, salary, and status changes; providing information on a wide range of Human Resources programs and services (via phone, chat, AskHR cases) and by the expeditious referral of m...
Medical Mgmt Social Worker II
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for working with members, member families and physicians on health issues including complex cases. Will be primarily responsible for working with members using behavioral modification techniques to help members make positive lifestyle changes impacting their health and wellness. Will assist the member and/or t...
Customer Advocate I
HCSC - Albuquerque, NM
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB R...
Care Coordinator UM/CM I
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and i...
Assoc Medicaid Ops Specialist
HCSC - Chicago, IL
Job Purpose: This position is responsible for providing assistance to the Medicaid Operations Specialist on operational services, works with Medicaid Operational Specialist with program implementation and coordination for one or more of the day-to-day Medicaid operation functions (e.g. billing, claims enrollment, encounter submissions and customer service.) ...
Analytics & Reporting Consultant - Provider Data Analysis
HCSC - Richardson, TX
Located in Richardson, TX this position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and leading cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system reporti...
